Kelli Ellenbaum, MS, CCC-SLP
NPI 1003934878 · Speech-Language Pathologist · Bismarck, ND
Enrolled with Medicare as Practitioner - Qualified Speech Language Pathologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelli Ellenbaum, MS, CCC-SLP is a Speech-Language Pathologist provider in Bismarck, ND (NPI 1003934878).
Provider details
- NPI number
- 1003934878
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MS, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 862 (ND)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-27
- Last updated
- 2021-03-15
- Certified
- 2021-03-15
Frequently asked questions
- What is Kelli Ellenbaum's NPI number?
- Kelli Ellenbaum's National Provider Identifier (NPI) is 1003934878, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelli Ellenbaum's specialty?
- Kelli Ellenbaum is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Kelli Ellenbaum located?
- Kelli Ellenbaum's practice location on file with NPPES is 2625 N 19th St, Bismarck, ND 58503-0574.
- What is Kelli Ellenbaum's phone number?
- The practice phone number listed in the NPPES registry for Kelli Ellenbaum is (701) 222-3175.
- Does Kelli Ellenbaum accept Medicare?
- Kelli Ellenbaum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelli Ellenbaum's NPI active?
- Yes — Kelli Ellenbaum's NPI (1003934878) is active in the NPPES registry as of the last update on 2021-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.